| NPI | 1093123630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28133795A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704274591) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |